摘要
目的介绍尺神经损伤的治疗方法和疗效。方法402例尺神经损伤,上臂44例,肘部61例,前臂138例,腕部134例,掌部25例。完全断伤312例,部分断伤22例,神经粘连68例。行神经松解术72例,神经直接缝合286例,束组束膜缝合31例,神经移植13例。结果按顾玉东的低位神经功能评定标准评定,优117例,占29.1%,良134例,占33.3%,可105例,占26.1%,差46例,占11.5%;总优良率为62.4%。二期行功能重建术22例。结论尺神经损伤后行神经缝合或粘连松解术后疗效较好。如因各种原因导致不可逆性损伤则应积极地进行功能重建术,如蚓状肌骨间肌重建术、第一背侧骨间肌重建术和小指内收功能重建术,以恢复手的精细功能。
Objective To present the methods and results of treatment for ulnar nerve injuries. Methods 402 cases of ulnar nerve injuries were treated, of which 330 with neurorrhaphy or nerve grafting and 72 with neurolysis. The level of injury was: 44 in the arm, 61 at the elbow, 138 in the forearm, 134 at the wrist and 25 at the palm. The patients were followed up for an average of 4.5 years and assessed by Gu's standard for their hand function. Results Assessment of ulnar nerve function revealed excellent results in 117 cases (29.1%), good in 134 (33.3%), fair in 105 (26.1%), and poor in 46 (11.5%) . Second stage functional reconstruction of the intrinsic muscles were done in 2 cases. Conclusions Generally satisfactory results can be obtained by nerve repair or neurolysis in ulnar nerve injuries. Functional reconstruction however should be carried out in case of irreversible palsy.
出处
《中华手外科杂志》
CSCD
1998年第2期99-100,共2页
Chinese Journal of Hand Surgery
关键词
尺神经
周围神经
神经松解术
腱转移术
Ulnar nerve Peripheral nerves Neurolysis Tendon transfer